| NPI | 1366479446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 208000000X Pediatrics (Licence: WA MD60528007) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: CA A63655) |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2021-12-21 |